Rapid sequence tandem intubation to navigate a subglottic obstruction.

Autor: Chacko RV; University of Chicago, Section of Emergency Medicine, United States of America; Advocate Christ Medical Center, Department of Emergency Medicine, United States of America. Electronic address: Ravi.chacko@aah.org., Jain NX; University of Chicago, Department of Anesthesia and Critical Care, United States of America., Baird BJ; University of Chicago, Section of Otolaryngology, United States of America., Palma AA; University of Chicago, Section of Emergency Medicine, United States of America.
Jazyk: angličtina
Zdroj: The American journal of emergency medicine [Am J Emerg Med] 2023 May; Vol. 67, pp. 196.e3-196.e5. Date of Electronic Publication: 2023 Mar 09.
DOI: 10.1016/j.ajem.2023.03.014
Abstrakt: Emergency airway management requires matching the appropriate intubation tools to anticipated obstacles. Video laryngoscopy and flexible endoscopy are often used for difficult airways. Here we describe a case where neither method alone was anticipated to be sufficient. A 53-year-old female with an obstructing lung mass required intubation for a mixed type 1 and 2 respiratory failure. Chest x-ray revealed a tortuous subglottic obstruction. The patient could not be temporized on maximized non-invasive airway support. These factors made tandem intubation, sequentially using video laryngoscopy and flexible endoscopic intubation, an appropriate intubation strategy. In this case report we describe the rationale and technique for a rapid sequence tandem intubation.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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